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General NPI Number Information
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NPI Number | 1033384961
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Entity Type | Individual
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Provider Name | GURVINDER S HERLIHY PAC
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 303 E ARMY TRAIL RD STE 403
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2155
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Country | US
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Telephone | 630-894-7083
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Fax | 630-894-9472
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Provider Business Mailing Address
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Address Line | 303 E ARMY TRAIL RD STE 403
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2155
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Country | US
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Telephone | 630-894-7083
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Fax | 630-894-9472
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 85-002870
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License Number State | IL
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